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South Dakota rates for HCPCS 78459

Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $74.13 / $74.13
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $120.23 / $141.25